CMSRN 4 questions with verified solution 2023

CMSRN 4A 16 year old male patient complains he has "not hit his growth spurt yet." The patient's mother admits, "We've been relieved that he's not shown any interest in dating yet." The nurse suspects the patient may have: A. Hyposecretion by the Posterior Pituitary Gland B. A secondary disorder of the Anterior Pituitary Gland C. Hypersecretion of hormones from the testes D. A tertiary disorder of the Adrenal Medulla - correct answer B. A secondary disorder of the Anterior Pituitary Gland Matthew Kelly, age 48, is admitted to the medical - surgical unit with a 2 week history of fatigue. assessment reveals 2+ pitting edema to the lower extremities, heart rate 116, BP 210/105. Initial lab results include serum sodium 150 mEq/L and serum potassium 2.8 mEq/L The nurse correctly identifies Mr. Kelly's endocrine abnormality as a disorder of which organ? A. Posterior Pituitary B. Adrenal Medulla C. Anterior Pituitary D. Adrenal Cortex - correct answer B. Adrenal Medulla Gladys Burns, age 54, is admitted to the medical - surgical unit with a diagnosis of hypoparathyroidism. She was found unresponsive in a homeless shelter. Ms. Burns has a 20 year history of alcoholism. Assessment by the nurse reveals muscle contraction of the fingers and a positive Chvostek's sign. The nurse identifies which electrolyte disorder as contributing to the assessment findings for Ms. Burns? A. Hypernatremia B. Hypomagnesemia C. Hypocalcemia D. Hyperkalemia - correct answer C. Hypocalcemia